She has also appeared in several films, including The Lawless Heart and Topsy Turvy. She is an accomplished composer and has written the soundtrack for Hush Your Mouth, the debut feature for Neophyte Films directed by Tom Tyrwhitt. Smith writes and records songs and poems, which are performed under the name "Madam". She has collaborated with artists such as Saskia Volde to make the Tate Gallery exhibited piece "Placebo". Her shows are regularly attended by English artists such as Georgina Star, Paul Noble and Tim Noble and Sue Webster.